decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-113
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Article Overview
This article covers HCFA program instructions for updating 2001 payment amounts under the DMEPOS fee schedule. It is relevant to Medicare contractors, carriers, DMERCs, and related billing or payment staff who need to understand the timing, file formats, update factors, and administrative handling described in the memorandum.
Why This Topic Matters
The memorandum explains how 2001 DMEPOS pricing updates were to be implemented and distributed across Medicare contractor systems. It also identifies the broad categories of items affected, the quarterly update process, and the file-based reporting requirements used to support fee schedule maintenance.
Article Sections
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Subject and Purpose
Introduces the memorandum and its general purpose for 2001 DMEPOS payment updates. Identifies the contractor audiences receiving the instructions.
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2001 DMEPOS Fee Schedule File
Describes the release timing, distribution channels, and effective date for the 2001 fee schedule file. Also notes when payment updates are to be applied.
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Gap-filling Instructions
Outlines the set of newly covered items subject to fee schedule treatment and explains how contractor jurisdictions are expected to handle gap-filling. Includes related coordination notes and administrative references.
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DMEPOS Update Factors for 2001
Summarizes the broad annual update framework for DMEPOS categories in 2001. Notes temporary, frozen, and percentage-based update treatment by category.
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Quarterly Update Schedule for 2001 DMEPOS Fee Schedule
Describes the recurring process for correcting and redistributing fee schedule data during 2001. Covers contractor review, transmission, implementation timing, and related notification steps.
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Attachment A
Provides the file submission format for revisions to the DMEPOS fee schedule. Includes the record fields and transmission instructions for the submission process.
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Attachment B
Presents the revised record layout used for 2001 DMEPOS fee schedule data. Defines the structure used for contractor data exchanges and update processing.
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Attachment C
Lists reference amounts tied to one original base fee schedule context used in the update process. Serves as supporting information for contractor review and validation.
What You Will Learn
- How the 2001 DMEPOS fee schedule file was distributed and implemented
- Which broad DMEPOS item categories were affected by the memorandum
- How quarterly fee schedule corrections were organized for contractors
- What kinds of file layouts and submission steps were used for revisions
- What administrative contacts and timing rules supported the update process
Who Should Read This
- Medicare contractors
- DMERCs
- local carriers
- fiscal intermediaries
- healthcare billing and payment staff
- DMEPOS pricing and reimbursement teams
Codes Discussed
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